Wisconsin Illinois Senior Housing Inc
Wisconsin Illinois Senior Housing Inc is a Skilled Nursing Facility in Wild Rose, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
425 Summit StWild Rose, WI 54984-6804
Phone: (920) 622-4342
Fax: (920) 622-3655
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 2606 (WI) |
|---|
Record details
| NPI number | 1649264623 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Sherman — Medicare Program Monitor · (303) 980-0611 |
| Other names | Wild Rose Manor; Wild Rose Manor |
| NPI enumerated | September 7, 2005 |
| Last updated in NPPES | May 13, 2020 |
| Certification date | May 13, 2020 |
| Mailing address | 425 Summit St, Wild Rose, WI 54984-6804 |